Individual provider Active NPI

Joseph P Mazza, MD

  • Cardiovascular Disease Physician
  • Lincoln, RI
National Provider Identifier
1912905209
Registry record updated Dec 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD07909 Issued in RI
Practice address
6 Blackstone Valley PL Ste 105
Lincoln, RI 02865-1112
Phone
(401) 762-3838
Fax
(401) 762-8252
NPI assigned
Jul 11, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MD07909 RI Primary

Addresses

Primary practice location

6 Blackstone Valley PL Ste 105
Lincoln, RI 02865-1112

Mailing address

6 Blackstone Valley PL Ste 105
Lincoln, RI 02865-1112
Phone (401) 762-3838

Other identifiers 1

IdentifierTypeStateIssuer
7001415MedicaidRI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081223000318 RI Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 1850292277 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
George Washington University School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prospect Chartercare Sjhsri LLCGroup PAC ID 7315179314, 32 clinicians
Cardiovascular Institute of New England PCGroup PAC ID 0547322273, 16 clinicians

Practice addresses (Care Compare)

200 High Service Ave
North Providence, RI 02904-5113
Phone (401) 456-3166

6 Blackstone Valley PL
Suite 105
Lincoln, RI 02865-1112
Phone 4014649751109

Hospital & facility affiliations

  • Landmark Medical Center Hospital, Woonsocket, RI, CCN 410011
  • The Miriam Hospital Hospital, Providence, RI, CCN 410012
  • Our Lady of Fatima Hospital Hospital, North Providence, RI, CCN 410005
  • South County Hospital Inc Hospital, Wakefield, RI, CCN 410008
  • Roger Williams Medical Center Hospital, Providence, RI, CCN 410004

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Chartercare Roger Williams Medical Center CurrentSince Aug 1, 2025 Accepting new patients
Cardiovascular Institute of New England PC Cardiovascular Disease CurrentSince Jan 1, 2009 Accepting new patients
Rhode Island (R.I.) Cardiovascular Group Inc. Current Accepting new patients
Prospect Chartercare RWMC, LLC Current Accepting new patients
Chartercare Our Lady of Fatima Hospital Cardiovascular Disease CurrentSince Aug 1, 2025 Accepting new patients
Chartercare Our Lady of Fatima Hospital Current Accepting new patients
Prospect Chartercare Sjhsri, LLC CurrentSince Jun 1, 2014 Accepting new patients
Prospect Chartercare RWMC, LLC Cardiovascular Disease CurrentSince Jun 20, 2014 Accepting new patients
Rhode Island Cardiovascular Group Cardiovascular Disease Current Accepting new patients
Prospect Chartercare Sjhsri, LLC Cardiovascular Disease CurrentSince Jun 1, 2014 Accepting new patients

Locations

395 Atwood Ave
Cranston, RI 02920
Phone (401) 464-9751

1539 Atwood Ave
Ste 304
Johnston, RI 02919
Phone (401) 351-2055

1539 Atwood Ave
Ste 102
Johnston, RI 02919
Phone (401) 751-4701

2 Wake Robin Rd
Lincoln, RI 02865
Phone (401) 333-1747

6 Blackstone Valley Pl
Ste 105
Lincoln, RI 02865
Phone (401) 464-9751

200 High Service Ave
North Providence, RI 02904
Phone (401) 456-3000

333 School St
Ste 210
Pawtucket, RI 02860
Phone (401) 475-1999

21 Peace St
Providence, RI 02907
Phone (401) 456-3000

825 Chalkstone Ave
Providence, RI 02908
Phone (401) 456-2000

35 Wells St
Westerly, RI 02891
Phone (401) 596-0964

68 Cumberland St
Ste 103
Woonsocket, RI 02895
Phone (401) 762-3838

Interoperability endpoints

  • Direct secure messaging: joseph.mazza.1@29128.direct.athenahealth.com

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 13

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671494400000",
    "number": "1912905209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 BLACKSTONE VALLEY PL STE 105",
            "city": "LINCOLN",
            "state": "RI",
            "postal_code": "028651112",
            "telephone_number": "401-762-3838",
            "fax_number": "401-762-8252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 BLACKSTONE VALLEY PL STE 105",
            "city": "LINCOLN",
            "state": "RI",
            "postal_code": "028651112",
            "telephone_number": "401-762-3838",
            "fax_number": "401-762-8252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZZA",
        "first_name": "JOSEPH",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-11",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "RI",
            "license": "MD07909",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7001415",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, RI

Sources for this page

Verify at the official NPI Registry.